by Moatasem | Feb 13, 2025 | Services
Hyperthyroidism occurs when the thyroid gland produces an excess of hormones, leading to various symptoms such as a rapid heartbeat, weight loss, and anxiety. A hyperthyroidism test is an important step in identifying the condition, as it provides insights into how well your thyroid gland is functioning.
This article explores the different tests available, how they work, and what you can expect during the diagnostic process, empowering you to take charge of your thyroid health.
What Is a Hyperthyroidism Test?
A hyperthyroidism test is a diagnostic tool designed to evaluate thyroid function and determine if the gland is producing excess hormones. These tests help identify the underlying cause of the condition, such as Graves’ disease, thyroid nodules, or inflammation.After identifying and diagnosing the problem, doctors can recommend specific treatment options.
Types of Hyperthyroidism Tests
Diagnosing hyperthyroidism typically involves a combination of tests that provide a comprehensive evaluation of thyroid function:
Blood Tests
Blood tests are the most common and direct way to detect hyperthyroidism. These tests include:
- TSH (Thyroid-Stimulating Hormone) Test: TSH levels are typically suppressed in hyperthyroidism, as the pituitary gland reduces stimulation to the thyroid when excess hormones are present.
- T3 (Triiodothyronine) and T4 (Thyroxine) Tests: Elevated levels of these hormones indicate an overactive thyroid.
Radioactive Iodine Uptake (RAIU) Test
This test evaluates how much iodine your thyroid absorbs, as iodine is essential for thyroid hormone production. Patients take a small dose of radioactive iodine, and the gland’s uptake is measured. A high uptake may indicate conditions like Graves’ disease, while a low uptake could indicate thyroiditis.
Thyroid Scan
A thyroid scan provides detailed images of the gland’s size, shape, and structure. This imaging test is particularly useful for detecting nodules or abnormal growths associated with hyperthyroidism.
Learn more about : Ablation (RFA and Microwave)
How to Prepare for a Hyperthyroidism Test
Preparing for a hyperthyroidism test depends on the type of test being conducted. It is important to inform your doctor about any medications or supplements you are currently taking, as certain ones can influence the results. Your doctor may recommend adjusting or temporarily discontinuing certain medications before the test.
What Do Test Results Mean?
Below is an explanation of test results:
- Low TSH and High T3/T4 Levels: These results typically confirm hyperthyroidism.
- Abnormal Radioactive Iodine Uptake: This test helps identify the cause, such as Graves’ disease or thyroid nodules.
- Thyroid Scan Abnormalities: Scans may reveal the presence of nodules or structural issues that require further evaluation.
If a hyperthyroidism test confirms the condition, your doctor will recommend treatment options, which may include medications, radioactive iodine therapy, or surgery in severe cases.
Why Hyperthyroidism Test Matters
Early detection of hyperthyroidism is crucial for effectively managing the condition. If left untreated, hyperthyroidism can lead to serious complications, including heart problems, osteoporosis, and eye issues. Regular testing and monitoring are vital, especially for individuals at higher risk due to family history or existing thyroid conditions.
Dr. Emad Kandil’s Expertise in Thyroid Health
When it comes to thyroid health, expert care truly makes all the difference. Dr. Emad Kandil is a renowned thyroid specialist with extensive experience in diagnosing and treating thyroid disorders, including hyperthyroidism. He employs the latest diagnostic tools and minimally invasive treatments to ensure the best possible outcomes for his patients.
If you’re experiencing symptoms of an overactive thyroid or require a hyperthyroidism test, Dr. Kandil and his team are here to assist you. Schedule a consultation today to receive tailored care and take the first step toward better thyroid health.
by abdo | Aug 1, 2024 | Services
Microwave ablation (MWA) is an advanced technique for treating thyroid nodules. It generates high heat to ablate abnormal tissue. It is particularly beneficial for larger nodules due to its ability to deliver intense heat quickly, making the procedure faster and potentially more effective in reducing nodule size.
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What is Microwave Ablation?
Microwave ablation is a promising alternative to traditional surgical treatments for thyroid nodules. It involves inserting a thin needle into the nodule and delivering microwave energy, which heats and destroys the abnormal tissue. This procedure is performed under local anesthesia and a sedative and typically takes less than an hour.
Benefits of Microwave Ablation
Microwave ablation offers several advantages over traditional treatments for thyroid nodules, including:
- Minimally invasive: MWA is a less invasive option compared to surgery, with a shorter recovery time and fewer risks of complications.
- Effective for larger nodules: MWA can generate higher temperatures than radiofrequency ablation (RFA), making it potentially more effective for larger nodules.
- Preserves thyroid function: In many cases, MWA can help reduce the size of the nodule without affecting thyroid function.
- Outpatient procedure: Microwave ablation can be performed on an outpatient basis, which means you can go home the same day as the procedure.
Effectiveness for Large Nodules
MWA is especially effective for large thyroid nodules, as it can generate higher levels of heat compared to other methods. This increased heat allows for quicker treatment times and may lead to better outcomes in reducing the size of larger nodules.
Considerations for Nodules Near Sensitive Structures
While MWA is highly effective, there are concerns when using it for nodules located near sensitive structures, such as nerves. The high heat generated by MWA could increase the risk of nerve damage if not performed with extreme precision. Therefore, in cases where the nodule is close to nerves, it may be preferable to use a method that generates less heat, like RFA, to minimize the risk of injury. Dr Kandil will make the best decision for your case.
What to Expect Before, During, and After the Procedure
Pre-Procedure Evaluation
- Imaging Tests: Before the procedure, imaging tests are performed to assess the size, location, and characteristics of the thyroid nodule.
- Consultation: Dr. Kandil will discuss the procedure in detail, including the benefits, risks, and what to expect during recovery. He will also review your medical history and any medications you are taking.
During the Procedure
- Anesthesia and Sedation: MWA can be performed under conscious sedation, allowing patients to remain awake but comfortable during the procedure.
- Microwave Ablation: Using ultrasound guidance, a fine needle is inserted into the nodule. Microwave energy is then delivered through the needle, generating heat that ablates the abnormal thyroid tissue. The procedure typically lasts 30 to 60 minutes, depending on the size and number of nodules.
Post-Procedure Care
- Observation: After the procedure, you will be monitored for a short period to ensure there are no immediate complications.
- Recovery: Most patients experience mild discomfort, which can be managed with over-the-counter pain relievers.
- Follow-Up: A follow-up ultrasound is scheduled to monitor the reduction in nodule size and assess the success of the treatment.
Is Microwave Ablation Right for You?
Microwave ablation is not appropriate for everyone with a thyroid nodule. Dr. Kandil will work with you to determine if microwave ablation is the right treatment option for you. Factors that may influence this decision include:
- The size and location of the nodule.
- Your overall health.
If you have been diagnosed with a thyroid nodule and are exploring treatment options, contact Dr. Emad Kandil’s office today to schedule your consultation and learn more about this advanced procedure.
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by abdo | Aug 1, 2024 | Services
Embolization is a procedure performed for occlusion of the blood supply of the thyroid gland. Following the procedure, the thyroid gland becomes smaller and all the related symptoms could diminish or disappear. Patients will continue to have normal thyroid function levels.
We have successful experience at our institution.
It is a great option for large goiters , Graves disease, or large thyroid masses in addition to ablation procedures.
Discuss your options with Dr. Kandil to understand more what is the best for you.
by abdo | Aug 1, 2024 | Services
The thyroid gland, a butterfly-shaped gland located in the lower front of your neck, plays a vital role in regulating your metabolism. When thyroid problems arise surgery may be necessary to restore balance.
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Understanding Thyroid Surgery
Thyroid surgery, also known as a thyroidectomy, is a procedure to remove all or part of the thyroid gland. There are several reasons why a surgeon might recommend this procedure:
- Thyroid Nodules: These are lumps that form in the thyroid gland. While most are benign (non-cancerous), a biopsy may be needed to confirm. In some cases, a large or bothersome nodule may warrant surgical removal.
- Thyroid Cancer: Surgery is the most common treatment for thyroid cancer. A total thyroidectomy may be performed to remove the entire gland and prevent the spread of cancerous cells.
- Hyperthyroidism: An overactive thyroid can cause a variety of symptoms, including weight loss, anxiety, and rapid heartbeat. In some cases, surgery to remove part of the thyroid gland can help regulate hormone production.
Types of Thyroid Surgery
The specific type of thyroid surgery will depend on the underlying condition and the size and location of the thyroid gland. The main types of thyroidectomy include:
- Total Thyroidectomy: Removal of the entire thyroid gland. This is typically performed for thyroid cancer or severe hyperthyroidism.
- Partial Thyroidectomy: Removal of only one lobe of the thyroid or a portion of both lobes. This may be an option for benign nodules or less extensive thyroid cancer.
Before and After Thyroid Surgery
Understanding what to expect before and after surgery can help ease anxiety and promote a smooth recovery. Here’s a basic overview:
Before Surgery
- Consultation: You’ll discuss your medical history with Dr Emad Kandil, undergo a physical exam, and may need additional tests like blood work or imaging studies.
- Medication Review: Certain medications may need to be adjusted or stopped before surgery.
- Informed Consent: You will be provided detailed information about the procedure, including potential risks and complications.
After Surgery
- Pain Management: Medication can help manage any discomfort you may experience.
- Monitoring: Your vital signs and thyroid function will be monitored closely.
- Scar Care: Following specific instructions for wound care is crucial for optimal healing.
- Hormone Replacement Therapy: If your entire thyroid gland is removed, you may need lifelong hormone replacement therapy to regulate metabolism.
- Recovery Time: Most patients can go home the same day or after a short hospital stay. Recovery typically takes several weeks, but strenuous activity should be avoided initially.
Is Thyroid Surgery Outpatient?
Thyroid surgery is traditionally performed as an inpatient procedure in a hospital setting, allowing for close monitoring after the operation. However, in certain cases, it can be done as an outpatient procedure, meaning the patient can return home the same day in certain circumstances.
Outpatient thyroid surgery may be considered for patients who have a strong support system at home and live near a hospital in case complications arise. Research indicates that when these conditions are met, outpatient thyroid surgery can be just as safe as inpatient surgery. Still, the decision depends on the patient’s health, the complexity of the procedure, and the surgeon’s assessment.
Why Choose Dr. Emad Kandil for Thyroid Surgery in Los Angeles?
Dr. Emad Kandil is a leading oncologist in Los Angeles, His expertise and commitment to patient-centered care make him an excellent choice for those considering thyroid surgery:
- Experience: Dr. Kandil has extensive experience performing various types of thyroid surgery, including minimally invasive techniques.
- Minimally Invasive Options: He prioritizes minimally invasive approaches like robotic-assisted surgery whenever possible, resulting in smaller scars and faster recovery times.
- Patient-Centered Care: Dr. Kandil takes the time to understand your individual needs and concerns to develop a personalized treatment plan.
- Advanced Technology: He utilizes the latest advancements in surgical technology to ensure precise and optimized surgical outcomes.
. If you are considering thyroid surgery, schedule a consultation with Dr. Kandil today to discuss the best options for your case.
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by mustafa | Mar 21, 2024 | Services
Neck dissection surgery, an essential treatment for head and neck cancers, requires a skilled surgeon who combines expertise with compassion. Dr. Emad Kandil, a Professor at Tulane Cancer Center, provides state-of-the-art care for this complex procedure, removing affected lymph nodes to prevent the spread of cancer and assess its extent.
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Types of Neck Dissection Surgery
There are several types of neck dissection surgery. Dr. Kandil customizes the approach depending on the extent of cancer spread:
- Radical Neck Dissection Surgery: It’s a full neck dissection surgery which means a comprehensive removal of all tissue on one side of the neck, including major structures. Typically used for cases of extensive cancer spread.
- Modified Radical Neck Dissection: This procedure removes all lymph nodes while preserving certain neck structures. It’s the most common approach, balancing thoroughness with the preservation of function.
- Selective Neck Dissection: The Least invasive option for less widespread cancer. Targets specific lymph node groups, preserving key structures and function.
Each type is carefully selected to provide the most effective treatment while minimizing the impact on the patient’s quality of life. Dr. Kandil’s expertise ensures the most appropriate approach for each case.
Indications for Neck Dissection Surgery
Neck dissection surgery is typically recommended when there is evidence of cancer in the head or neck region, or when there is a high risk of it spreading to the lymph nodes. This includes cancers of the mouth, tongue, throat, nose, face, skin, thyroid gland, or salivary glands. The procedure is particularly important when:
- Cancer has already spread to the lymph nodes.
- There is a high risk of cancer spreading to the lymph nodes.
Lymph nodes play a crucial role in the body’s immune system, as they can trap cancer cells that have spread from the primary tumor. By removing these nodes and surrounding tissue, neck dissection helps:
- Prevent the spread of cancer to other parts of the body.
- Determine the stage of the cancer.
In some cases, the doctor may recommend surgery even if the cancer has not yet been confirmed. This can be done for diagnostic purposes, to help determine the extent of the cancer and the most appropriate treatment plan.
Dr. Emad Kandil will carefully evaluate the patient’s situation to determine if this surgery is the appropriate course of action. He will consider factors such as the type and stage of cancer, as well as their overall health.
What to Expect Before, During, and After Surgery
Pre-Operative Preparation
- Specific Instructions: The patient will receive detailed instructions on how to prepare for the surgery, including fasting after midnight on the surgery day and potentially adjusting medications.
- Medication Review: It’s essential to inform the healthcare team about all medications, supplements, and lifestyle factors that could affect the surgery.
- Transportation and Post-Operative Care: Arrange for a family member or friend to assist with transportation to and from the hospital, as well as post-operative care.
Recovery and Aftercare
- Hospital Stay: Most patients can expect to stay in the hospital for a few days following neck dissection surgery.
- Pain Management and Care: The patient will receive pain medication, antibiotics, and care for surgical drains during your hospital stay.
- Discharge: The medical team will monitor the patient’s ability to eat, drink, and move comfortably before you are discharged from the hospital.
- Follow-up Care: Follow-up appointments are essential for monitoring your recovery and ensuring that the healing process is on track.
Dr. Emad Kandil and his team are committed to providing the highest quality care and support throughout the entire neck dissection journey. They will be there to answer any questions the patient may have and to ensure his comfort and optimal recovery.
Why Choose Dr. Emad Kandil for Neck Dissection Surgery
When choosing a surgeon for a complex procedure like neck dissection, experience, expertise, and compassionate care are critical. Dr. Emad Kandil excels in all these areas, making him the ideal choice for patients seeking the best possible outcomes.
- Expertise: Years of experience in oncology and neck dissection.
- Innovation: Uses the latest surgical techniques and technology.
- Compassion: Treats patients with empathy and respect.
- Personalized Care: Tailors treatment plans to individual needs.
Contact Dr. Kandil’s office today to schedule your consultation and take control of your health journey.
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by mustafa | Mar 21, 2024 | Services
PARATHYROID GLANDS:
There are usually four parathyroid glands which are located next to the thyroid gland in the neck. Rarely, there may be a fifth or sixth gland. Occasionally, one or more parathyroid glands may be located elsewhere in the neck or upper chest region. The parathyroid glands make parathyroid hormone (PTH) which helps your body regulate calcium levels. Parathyroid hormone keeps the amount of calcium from falling too low by releasing calcium from the bones, by keeping calcium from being excreted by the kidneys, and by increasing calcium absorption from food.
HYPERPARATHYROIDISM:
Hyperparathyroidism occurs when the parathyroid gland(s) enlarge and make too much parathyroid hormone. This leads to a rise in calcium levels. Hyperparathyroidism occurs sporadically in approximately 90% of cases and is inherited in ap- proximately 10%. There is also an association with previous therapeutic head and neck irradiation. There are approximately 100,000 new cases each year in the U.S. It occurs more commonly in women than in men.
SYMPTOMS:
Symptoms associated with high levels of calcium are often vague. They may include decreased appetite, thirst, lethargy, fatigue, muscle aches, weakness, joint pain and constipation. More severe symptoms and signs associated with higher levels of calcium may include stomach upset, depression, osteoporosis, fractures or kidney stones. Sometimes there are no symptoms and the condition is discovered only by routine laboratory blood work.
A single enlarged parathyroid or parathyroid adenoma is responsible for 80% of cases. Enlargement of all four glands, known as hyperplasia, accounts for about 15% of cases. In approximately 4% of patients, two glands are enlarged. Parathyroid cancer causes hyperparathyroidism less than 1% of the time.
Parathyroid surgery
Hyperparathyroidism can be cured with surgery. The purpose of parathyroid surgery is to locate and remove the abnormal parathyroid gland(s). When performed by an experienced endocrine surgeon, the operation is successful in approximately 97% of cases. Complications can occur, but are uncommon. Rarely, all four para- thyroid glands need to be removed and sometimes, a portion of one is transplanted into the forearm. The hospital stay for these cases may be more than one night depending on the calcium level after surgery. Your surgeon will explain your specific surgery and why it is recommended in your case.
As with any surgical procedure, there are risks involved. There is a risk of bleed- ing, but this is extremely low. The risk of infection is also extremely low that antibiotics are not routinely used. There is also a very low risk of injury to the recurrent laryngeal nerves which control the vocal cords. Inju- ry to these nerves could affect your voice. There is also the possibility that the abnormal glands could not be located or that your symptoms may recur over time. Occasionally, hypoparathyroidism may result after surgery. This is associated with low calcium levels and may require calcium and vitamin D supplements to maintain normal calcium levels. There is also a small risk associated with anesthesia. The overall risk of complications is extremely low, however, and is usually out- weighed by the benefits of surgery. Dr.Kandil will go over this information with you and answer your questions.
Before surgery
Once the surgery has been scheduled, arrangements will be made for your preoperative evaluation. You will meet with a nurse practitioner or physician’s assistant from the Anesthesiology Department. The pre-op exam may include laboratory work, chest x-ray and an EKG.
If you take non-steroidal anti-inflammatory agents, you should stop taking these one week before surgery. On the night before surgery, do not have anything to eat or drink after midnight. Get a good night’s sleep.
The day of surgery
Your doctor’s secretary will let you know where your surgery will be and what time you need to arrive at the hospital on the day of surgery. It is very important to arrive at least 2 hours before surgery. During the surgery, your family can wait in the family waiting area. They will be kept updated by the patient representative and operating room staff. The surgeon will speak with them after surgery has been completed.
What will happen in surgery?
You will be given general anesthesia to put you to sleep. You are positioned with special pillows under your neck to tilt your head back. An incision is made at the base of your neck and is about two to four inches long, depending on the exact type of operation you have. Using magnifying lenses, the surgeon locates the par- athyroid glands and the abnormal one(s) are removed. The incision is stitched closed and is then covered with Steri-strips (tapes) and a dry gauze dressing.
The operation generally lasts from 30 minutes to 90 minutes. After surgery, you will stay in the recovery room for several hours. Depending on the exact type of surgery you have, you will either be discharged home on the same day of surgery or be admitted for one night’s stay.
After surgery
If you are admitted to the hospital, you will have a liquid diet for dinner. You may have a sore throat. The nurse will provide lozenges to help relieve this. If you need something for pain, the nurse will give you a liquid pain medicine. You will have a dressing on your neck which will be removed in the morning. The head of your bed will be raised to decrease swelling. You will have an intravenous line to give you fluids until the next day. Your calcium level will be checked by a blood test in the morning. You will be offered regular food the next morning. Most people are ready to go home after breakfast.
You will be given instructions about taking calcium supplements and possibly Vitamin D (Rocaltrol).
Same day surgery
If you are discharged on the day of surgery, you will have plastic dressing over your incision. You may shower on the night of surgery, but keep the dressing as dry as possible. Two days after surgery, remove the plastic dressing and gauze. Your diet may consist of liquids and soft foods, depending upon which feels better to you, since your throat will be sore.
The incision
After the dressing is removed, you may shower. Try to keep the neck area as dry as possible and pat dry after showering. The stitches will be removed in the office about a week and a half after surgery. Infection is extremely rare.
You can do to improve the appearance of your scar is to protect it with scar cream or sunscreen that has a sun protection factor (SPF) of 30 for an entire year. During the year your scar may become raised or red, but will almost always fade into a thin line which will be less noticeable.
